Provider Demographics
NPI:1093609893
Name:HOLISTIC HEALTH CODE
Entity type:Organization
Organization Name:HOLISTIC HEALTH CODE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-940-0900
Mailing Address - Street 1:1051 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1572
Mailing Address - Country:US
Mailing Address - Phone:860-940-0900
Mailing Address - Fax:860-253-2898
Practice Address - Street 1:1051 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1572
Practice Address - Country:US
Practice Address - Phone:860-940-0900
Practice Address - Fax:860-253-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty